Active NPI
Javier Morales, MD
- General Practice Physician
- Coamo, PR
National Provider Identifier
1942980776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23409
- Practice address
- Calle Imperio
F-14
Coamo, PR 00769 - Phone
- (787) 319-8826
- NPI assigned
- Jul 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23409 | PR | Primary |
Addresses
Primary practice location
Calle Imperio
F-14
Coamo, PR 00769
Mailing address
Calle Imperio
F-14
Coamo, PR 00769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251216000475 | PR | Practitioner - General Practice | 1951893726 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6 Calle Willie Rosario
Coamo, PR 00769-3250
PO Box
Suite 2311
Coamo, PR 00769
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23409 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Physician for All LLC | Current | Accepting new patients |
Locations
6 Calle Willie Rosario
Coamo, PR 00769
Phone (787) 631-7905
Interoperability endpoints
- javier.moralesrodriguez@4048.securemail.prognocis.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1942980776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE IMPERIO",
"address_2": "F-14",
"city": "COAMO",
"state": "PR",
"postal_code": "00769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE IMPERIO",
"address_2": "F-14",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-319-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "JAVIER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.